With a growing global ageing population, approaches to assess and support decision-making are becoming more pertinent. This scoping review aimed to identify and map current knowledge on assessment of older adults' decision-making capacity in relation to independent living. A five-stage scoping review framework was followed. Inclusion criteria were papers on assessment approaches used to evaluate decision-making capacity of older adults, aged 60 years and over for independent living, including studies involving people with cognitive impairment and dementia. Five databases were searched for publications with eligibility criteria from January 2000 to December 2020; 4,118 results were retrieved from sources, resulting in 29 publications being analysed, eight of which were research reports. Publication characteristics and methodologies varied; however, many common components of decision-making capacity assessment for independent living were identified including cognitive, functional, environmental and risk assessment. Overall, a multidisciplinary approach was recommended, and consideration of the person's values and preferences is noted in many publications. Decision-making capacity assessment for independent living of older adults requires multicomponent, multidisciplinary assessment. Future work is needed to examine this from the perspective of older adults and their caregivers.

中文翻译：

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评估老年人与独立生活相关的决策能力：范围审查

随着全球人口老龄化的加剧，评估和支持决策的方法变得越来越重要。该范围审查旨在确定和绘制有关评估老年人独立生活决策能力的当前知识。遵循了一个五阶段的范围审查框架。纳入标准是关于用于评估 60 岁及以上老年人独立生活决策能力的评估方法的论文，包括涉及认知障碍和痴呆症患者的研究。从 2000 年 1 月到 2020 年 12 月，在五个数据库中搜索了符合资格标准的出版物；从来源检索到 4,118 项结果，分析了 29 份出版物，其中 8 份是研究报告。出版特点和方法各不相同；然而，确定了独立生活决策能力评估的许多共同组成部分，包括认知、功能、环境和风险评估。总体而言，建议采用多学科方法，并且在许多出版物中都提到了对个人价值观和偏好的考虑。老年人独立生活的决策能力评估需要多成分、多学科的评估。未来的工作需要从老年人及其照顾者的角度来检验这一点。许多出版物都提到了她的价值观和偏好。老年人独立生活的决策能力评估需要多成分、多学科的评估。未来的工作需要从老年人及其照顾者的角度来检验这一点。许多出版物都提到了她的价值观和偏好。老年人独立生活的决策能力评估需要多成分、多学科的评估。未来的工作需要从老年人及其照顾者的角度来检验这一点。